Minkus, Kirk D
Minkus, Kirk D is an sole proprietor health care provider with primary practice located at 7529 E Broadway Rd Ste 101 , Mesa AZ 85208-2007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Minkus, Kirk D can be contacted via phone (480) 945-4343.Contact Information
Primary practice address
7529 E Broadway Rd Ste 101
Mesa AZ 85208-2007
Phone: (480) 945-4343
Fax: (480) 945-4350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 33081 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 33081 | Arizona |
Profile Details
| NPI number | 1164494746 |
|---|---|
| LBN Legal business name | Minkus, Kirk D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 12th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164494746 | NPPES |
| Arizona | Other | 1Z7086 | HEALTH NET OF AZ |
| Arizona | Other | AZ0221810 | HEALTH NET OF AZ |
| Arizona | MEDICAID | 872227 | HEALTH NET OF AZ |
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